{include file="$usertemplate/header.tpl.html" title=header} 
            <div class="content">
            	<div class="leftCont">
                	<div class="boxpro">
                    	<div class="tt-boxpro">
                        	<ul>
                            	<li class="tt-left"><p>Sản phẩm khuyến mãi</p></li>
                                <li class="tt-right"><a href="#">Xem tất cả</a></li>
                            </ul>
                        </div><!--tt-boxpro-->
                        <div class="details">
              <p>&nbsp;</p>
              <div class="jdr-blockwidth">
                <div id="partnership-form" style="padding-left:50px"> 
                  {literal} 
                  <script language="javascript">
            function CheckFormMail()
            {
                    with (document.FormName)
                    {
                            if (company_name.value=="")
                            {
                                    alert("Mời bạn nhập tên công ty!");
                                    company_name.focus();
                                    return false;
                            }
							if (address.value=="")
                            {
                                    alert("Mời bạn nhập địa chỉ!");
                                    address.focus();
                                    return false;
                            }
							if (website.value=="")
                            {
                                    alert("Mời bạn nhập địa chỉ website!");
                                    website.focus();
                                    return false;
                            }
							if (full_name.value=="")
                            {
                                    alert("Mời bạn nhập họ tên!");
                                    full_name.focus();
                                    return false;
                            }
						if (chucdanh.value=="")
                            {
                                    alert("Mời bạn nhập chức danh!");
                                    chucdanh.focus();
                                    return false;
                            }
						
                        if (email.value=="")
                            {
                                    alert("Mời bạn nhập địa chỉ Email!");
                                    email.focus();
                                    return false;
                            }
                            else
                            {
                                    if(email.value.indexOf("@")<0||email.value.indexOf(".")<0)
                                    {
                                            alert("Địa chỉ Email không hợp lệ!");
                                            email.focus();
                                            return false;
                                    }
                            }
					if (tel.value=="")
                            {
                                    alert("Mời bạn nhập số điện thoại!");
                                    tel.focus();
                                    return false;
                            }
					if (solution.value=="")
                            {
                                    alert("Mời bạn chọn giải pháp dịch vụ");
                                    solution.focus();
                                    return false;
                            }
					if (message.value=="")
                            {
                                    alert("Mời bạn nhập nội dung");
                                    message.focus();
                                    return false;
                            }
					if (code.value=="")
                            {
                                    alert("Mời bạn nhập mã xác nhận");
                                    code.focus();
                                    return false;
                            }
                    }
                    return true;
            }
            </script> 
                  {/literal}
             
                  <form action="" name="FormName" target="_parent" onSubmit="return CheckFormMail();" method="POST">
                    <fieldset>
                      <label for="company_name">{$messages.company} <span class="maudo">*</span></label>
                      <input name="company_name" id="company_name" class="input-text" onfocus="this.select();" type="text">
                      <label for="address">{$messages.address} <span class="maudo">*</span></label>
                      <input name="address" id="address" class="input-text" type="text">
                      <label for="city">{$messages.city} <span class="maudo">*</span></label>
                      <input name="city" id="city" class="input-text" type="text">
                      <label for="website">{$messages.website}<span class="maudo">*</span></label>
                      <input name="website" id="website" class="input-text" type="text">
                      <p>&nbsp;</p>
                      <p class="maudo indam">{$messages.ttlienlac}</p>
                      <div style="background-color: rgb(99, 99, 99); width: 150px; height: 1px;">&nbsp;</div>
                      <p>&nbsp;</p>
                      <label for="full_name">{$messages.fullname} <span class="maudo">*</span></label>
                      <input name="full_name" id="full_name" class="input-text" type="text">
                      <label for="title">{$messages.chucdanh} <span class="maudo">*</span></label>
                      <input name="chucdanh" id="title" class="input-text" type="text">
                      <label for="email">Email <span class="maudo">*</span></label>
                      <input name="email" id="email" class="input-text" type="text">
                      <label for="phone">{$messages.tel}<span class="maudo">*</span></label>
                      <input name="tel" id="phone" class="input-text" type="text">
                      <p>&nbsp;</p>
                      <p class="maudo indam">{$messages.gpdv}</p>
                      <div style="background-color: rgb(99, 99, 99); width: 150px; height: 1px;">&nbsp;</div>
                      <span style="font-style: italic; font-size: 10px;">{$messages.select_hd}</span>
                      <p>&nbsp;</p>
                      <p style="height: 20px;">
                        <input name="solution" value="1" checked="checked" type="radio">
                        {$messages.csht}</p>
                      <p style="height: 20px;">
                        <input name="solution" value="2" type="radio">
                        {$messages.gpht}</p>
                      <p style="height: 20px;">
                        <input name="solution" value="3" type="radio">
                        {$messages.gpcsdl}</p>
                      <p style="height: 20px;">
                        <input name="solution" value="4" type="radio">
                        {$messages.gppmht}</p>
                      <p style="height: 20px;">
                        <input name="solution" value="5" type="radio">
                        {$messages.gptt_bm}</p>
                      <p style="height: 20px;">
                        <input name="solution" value="6" type="radio">
                        {$messages.khac}</p>
                      <p>&nbsp;</p>
                      <p class="maudo indam">{$messages.nd}</p>
                      <div style="background-color: rgb(99, 99, 99); width: 150px; height: 1px;">&nbsp;</div>
                      <p>&nbsp;</p>
                      <label for="message">{$messages.nd}</label>
                      <textarea name="message" id="message" class="input-text" rows="8" style="width: 460px;"></textarea>
                      <p>&nbsp;</p>
                      <label for="txtcode">{$messages.code_xn}<span class="maudo">*</span></label>
                      <div id="imgCode">
                        <input name="code" class="input-text" id="txtcode" alt="Mã xác nhận" maxlength="6" notnull="1" type="text" style="float:left; margin-right:15px; width:100px">
                        &nbsp;<img src="{$ROOTPATH}/authimg.php" alt="Authenticate image" height="23" align="left"/></div>
                      {if $listerror[3]} <span class="msg">{$listerror[3]}</span> {/if} <br>
                      <input type="submit" id="cmdSend"  value=" {$messages.send}">
                      <input name="op" value="hoptac" type="hidden">
                      <input name="lang" value="{$lang}" type="hidden">
                      <input name="slug" value="{$slug}" type="hidden">
                      <input type="reset" value="{$messages.reset}" >
                    </fieldset>
                  </form>
                </div>
               </div>
        </div>
                    </div><!--boxpro-->

                </div><!--leftCont-->
                <!--rightCont-->
             {include file="$usertemplate/right.tpl.html" title=right}  
            </div><!--content-->
{include file="$usertemplate/footer.tpl.html" title=footer} 